基于行为阶段转变理论对腹膜透析患者实施容量管理的效果
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广西医疗卫生适宜技术开发与推广应用项目(S2017030)


Effect of volume management intervention based on transtheoretical model (stages of change theory) for patients on peritoneal dialysis
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    摘要:

    目的 探讨基于行为阶段转变理论的容量管理干预对腹膜透析患者水盐控制的影响。方法 将110例腹膜透析患者随机分为 观察组和对照组各55例。对照组采用常规护理干预,观察组在常规护理基础上实施基于行为阶段转变理论的多阶段容量管理干 预,连续6个月后评价效果。结果 干预后观察组容量管理行为显著优于对照组,液体摄入量、食盐摄入量显著低于对照组,食欲 减退、水肿、气促、胸闷等症状发生率显著低于对照组,口渴评分、体质量显著低于对照组(P<0.05,P<0.01);两组尿量均逐渐减 少;干预前后两组超滤量无明显改变(均P>0.05)。结论 基于行为阶段转变理论的容量管理干预能够促进患者容量管理行为转 变,提高患者的水盐摄入依从性,改善患者容量状况。

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    Objective To assess the influence of volume management intervention based on transtheoretical model (stages of change theory) on water-salt control in patients on peritoneal dialysis. Methods Totally,110 patients on peritoneal dialysis were randomly divided into a control group (n=55),who received routine nursing intervention, and an intervention group (n=55), who received volume management intervention based on transtheoretical model (stages of change theory).The effect measures were compared after 6 months. Results After intervention, the intervention group had better volume management behaviors, less fluid intake and salt intake than the control group; the former also had lower incidence rates of anorexia, edema, shortness of breath, chest tightness,etc., and fewer thirsty scores and body weights than the latter (P<0.05,P<0.01). The urine volume of the two groups decreased gradually, and there was no significant difference in ultrafiltration in both groups before and after intervention (P>0.05 for all). Conclusion Volume management intervention based on transtheoretical model (stages of change theory) could strengthen patients′ behavior change of volume management,improve their water and salt adherence,and improve patient volume associated conditions.

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刘玲玲,黄燕林,杨玉颖,罗怡欣,侯璐蒙.基于行为阶段转变理论对腹膜透析患者实施容量管理的效果[J].护理学杂志,2019,34(13):48-51

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  • 收稿日期:2019-02-23
  • 最后修改日期:2019-04-12
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  • 在线发布日期: 2022-08-09